Pain Awareness and Management (cont.)
Each time you go to the bathroom it is one of the worst pains you can imagine. In fact, there is a treatment for this which has been used more frequently in the last 7 or 8 years and this is a special application of a spinal cord stimulation. The stimulator electrodes are actually placed over the nerves which go to the bladder.
In a high percentage of cases the pain relief will be rather immediate. It is also associated in true cases of what we call IC with an enlargement of bladder volume and a decrease in the need to urinate to a more normal frequency, and when successful, can be almost like a miracle cure for the pain of interstitial cystitis. So electrical stimulation is definitely something which should be considered for that diagnosis.
This can produce relief of the incision pain for two or three days as the tissue settles down, making it more tolerable to go through various procedures.
If there is an aneurism of the aorta in the chest, and if the aneurism is getting larger, it can be causing thoracic back pain and be related to heart failure.
So, with lupus it's very important to determine what structure is causing the pain and how we should intervene to relieve the pain due to the structure we've identified. The difficulty is there can be many sources of the pain.
Sometimes if the pain is widespread throughout the body using a shotgun approach, such as a drug administration system, can give total-body control of the pain without having to identify a multitude of different sources.
So I would not completely rule out the possibility that even the commercially available magnets, such as wristbands, necklaces, pillows and bedliners could have some therapeutic effect, it's just not been demonstrated scientifically.
There has also been the use of radio frequency blocks of the peripheral nerves which go to these areas which can help also to take the pain out of the area where the teeth were removed or where the nerve damage has occurred.
These types of things require a good physical examination and understanding of where exactly the pain is occurring before one could apply such techniques as electrical stimulators. These stimulators are very difficult to obtain long-term relief.
The pain due to rheumatoid arthritis is inflammatory and can come from joints. But it should also be said that many with rheumatoid arthritis have subluxations due to the disease and one needs to investigate the stability of the spine using X-ray techniques and then use block techniques to determine whether it's just inflammatory pain from the rheumatoid disease or whether they're actually pinching a nerve because of the instability. A good history and good physical examination can also be very helpful.
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